Postoperative Nursing Mastery Exam (100
MCQs)
SECTION 1: RHINOPLASTY (1–15)
1. After rhinoplasty, the priority nursing assessment is:
A. Pain level
B. Airway patency
C. Nasal drainage
D. Temperature
Answer: B
Rationale: Airway obstruction from edema or bleeding is the most immediate risk.
2. The nurse should instruct the patient to avoid:
A. Talking
B. Sneezing through nose
C. Drinking fluids
D. Sleeping
Answer: B
Rationale: Sneezing increases pressure and can disrupt sutures.
3. A mustache dressing saturated within 15 minutes indicates:
A. Infection
B. Normal healing
C. Hemorrhage
D. Dehydration
Answer: C
Rationale: Rapid saturation signals active bleeding.
4. Position post-op rhinoplasty:
A. Supine flat
B. High Fowler’s
C. Trendelenburg
D. Side-lying
Answer: B
Rationale: Reduces swelling and promotes drainage.
5. Clear fluid drainage suggests:
A. Mucus
B. CSF leak
C. Pus
D. Normal discharge
Answer: B
Rationale: CSF leakage is a serious complication.
, SECTION 2: LARYNGECTOMY (16–35)
16. Priority after total laryngectomy:
A. Nutrition
B. Communication
C. Airway
D. Sleep
Answer: C
Rationale: Airway maintenance via stoma is critical.
17. Best communication method immediately post-op:
A. Speaking
B. Writing board
C. Phone
D. Whispering
Answer: B
Rationale: Patient cannot vocalize.
18. Sign of airway obstruction:
A. Restlessness
B. Bradycardia
C. Warm skin
D. Dry cough
Answer: A
Rationale: Early hypoxia sign.
19. Humidification is important to:
A. Prevent infection
B. Prevent mucus plugs
C. Increase appetite
D. Improve speech
Answer: B
20. NG feeding is used to:
A. Prevent choking
B. Improve taste
C. Reduce nausea
D. Increase energy
Answer: A
SECTION 3: TRACHEOSTOMY (36–60)
MCQs)
SECTION 1: RHINOPLASTY (1–15)
1. After rhinoplasty, the priority nursing assessment is:
A. Pain level
B. Airway patency
C. Nasal drainage
D. Temperature
Answer: B
Rationale: Airway obstruction from edema or bleeding is the most immediate risk.
2. The nurse should instruct the patient to avoid:
A. Talking
B. Sneezing through nose
C. Drinking fluids
D. Sleeping
Answer: B
Rationale: Sneezing increases pressure and can disrupt sutures.
3. A mustache dressing saturated within 15 minutes indicates:
A. Infection
B. Normal healing
C. Hemorrhage
D. Dehydration
Answer: C
Rationale: Rapid saturation signals active bleeding.
4. Position post-op rhinoplasty:
A. Supine flat
B. High Fowler’s
C. Trendelenburg
D. Side-lying
Answer: B
Rationale: Reduces swelling and promotes drainage.
5. Clear fluid drainage suggests:
A. Mucus
B. CSF leak
C. Pus
D. Normal discharge
Answer: B
Rationale: CSF leakage is a serious complication.
, SECTION 2: LARYNGECTOMY (16–35)
16. Priority after total laryngectomy:
A. Nutrition
B. Communication
C. Airway
D. Sleep
Answer: C
Rationale: Airway maintenance via stoma is critical.
17. Best communication method immediately post-op:
A. Speaking
B. Writing board
C. Phone
D. Whispering
Answer: B
Rationale: Patient cannot vocalize.
18. Sign of airway obstruction:
A. Restlessness
B. Bradycardia
C. Warm skin
D. Dry cough
Answer: A
Rationale: Early hypoxia sign.
19. Humidification is important to:
A. Prevent infection
B. Prevent mucus plugs
C. Increase appetite
D. Improve speech
Answer: B
20. NG feeding is used to:
A. Prevent choking
B. Improve taste
C. Reduce nausea
D. Increase energy
Answer: A
SECTION 3: TRACHEOSTOMY (36–60)
